Effect of the external nasal dilator on adolescent athleteswith and without allergic rhinitis

Dinardi, Ricardo Reis; Andrade, Cláudia Ribeiro de; Ibiapina, Cássio da Cunha

doi:10.1016/j.ijporl.2017.04.008

Cited by 7 publications

(17 citation statements)

References 22 publications

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“…On the premise that ENDs increase some measures of nasal patency and nasal inspiratory flow, their potential to improve exercise capacity has also been explored. Despite a few reports of favorable outcomes (Griffin et al 1997;Dinardi et al 2013Dinardi et al , 2017, a recent systematic review and meta-analysis of 19 articles concluded that ENDs elicited "no improvement in VO 2 max , HR and RPE outcomes in healthy individuals during [maximal or submaximal] exercise" (Dinardi et al 2021). Other studies, using esophageal balloon catheters, showed no effect of ENDs on inspiratory elastic work, inspiratory resistive work, or expiratory resistive work during submaximal or maximal exercise (O'Kroy et al 2001).…”

Section: Literaturementioning

confidence: 99%

Distinguishing science from pseudoscience in commercial respiratory interventions: an evidence-based guide for health and exercise professionals

et al. 2023

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Respiratory function has become a global health priority. Not only is chronic respiratory disease a leading cause of worldwide morbidity and mortality, but the COVID-19 pandemic has heightened attention on respiratory health and the means of enhancing it. Subsequently, and inevitably, the respiratory system has become a target of the multi-trillion-dollar health and wellness industry. Numerous commercial, respiratory-related interventions are now coupled to therapeutic and/or ergogenic claims that vary in their plausibility: from the reasonable to the absurd. Moreover, legitimate and illegitimate claims are often conflated in a wellness space that lacks regulation. The abundance of interventions, the range of potential therapeutic targets in the respiratory system, and the wealth of research that varies in quality, all confound the ability for health and exercise professionals to make informed risk-to-benefit assessments with their patients and clients. This review focuses on numerous commercial interventions that purport to improve respiratory health, including nasal dilators, nasal breathing, and systematized breathing interventions (such as pursed-lips breathing), respiratory muscle training, canned oxygen, nutritional supplements, and inhaled l-menthol. For each intervention we describe the premise, examine the plausibility, and systematically contrast commercial claims against the published literature. The overarching aim is to assist health and exercise professionals to distinguish science from pseudoscience and make pragmatic and safe risk-to-benefit decisions.

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Section: Literaturementioning

confidence: 99%

Distinguishing science from pseudoscience in commercial respiratory interventions: an evidence-based guide for health and exercise professionals

et al. 2023

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“…Estudo [26] que comparou um grupo de pacientes com rinossinusite crônica antes e após cirurgia endoscópica nasal observou aumento significativo do PFIN (80,8 vs. 111,2 l/min) mostrando que o procedimento cirúrgico foi efetivo. Outro estudo [27] avaliou os efeitos do dilatador nasal externo sobre o PFIN, resistência nasal e capacidade aeróbia em atletas saudáveis e com rinite alérgica. Os resultados mostraram que o dispositivo aumentou significativamente o PFIN, reduziu a resistência nasal e aumentou a capacidade de exercício tanto nos atletas saudáveis quanto nos com rinite.…”

Section: Discussionunclassified

Comparação da função ventilatória e da atividade elétrica dos músculos inspiratórios acessórios entre adultos jovens com respiração nasal e oral

Trevisan

Boufleur

Soares³

et al. 2018

Fisioter Bras

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Objetivo: Avaliar a função ventilatória, o pico de fluxo inspiratório nasal, as pressões respiratórias máximas, a atividade elétrica dos músculos inspiratórios acessórios e a relação entre as variáveis, em adultos com respiração oral (RO), comparando-os com adultos com respiração nasal (RN). Métodos: Estudo transversal, controlado com 77 participantes, entre 18 e 30 anos, ambos os sexos, distribuídos em Grupo RO (n = 38) e RN (n = 39). Foram avaliados por espirometria, manovacuometria, para obtenção da Pressão Inspiratória Máxima (PImáx) e Pressão Expiratória Máxima (PEmáx); medida do pico de fluxo inspiratório nasal (PFIN) e eletromiografia de superfície (EMG) dos músculos esternocleidomastoideo (ECM) e trapézio superior durante testes de PImáx e PFIN. Resultados: O grupo RO apresentou valores significativamente menores de PImáx (91 versus 100%), PEmáx (91,6 versus 102,6%) e PFIN (121,4 versus 147,7 l/min). Houve diferença (p < 0,01) na atividade EMG do ECM, com valores menores no grupo RO. A PImáx se correlacionou com o PFIN (r = 0,48, p < 0,01). Conclusão: Os RO apresentaram menores valores de PFIN, PImáx, PEmáx e de amplitude da atividade EMG dos músculos inspiratórios acessórios durante inspirações rápidas, quando comparados aos RN. Traz como contribuição para a prática clínica, a importância de uma investigação global do modo respiratório, não envolvendo apenas intervenções médicas, ortodônticas e miofuncionais, mas também os aspectos ventilatórios e musculares, sobre os quais se identificou a influência da RO.Palavras-chave: músculos respiratórios, espirometria, eletromiografia, obstrução nasal, respiração bucal.

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“…Other studies have noted improvement in nasal function measurements like PNIF or nasal patency with ENDs or INDs use, but with relatively small sample sizes and no clear performance benefit (17,18). Alternatively, there are studies that have shown well-rounded improvement in PNIF, nasal resistance, V ˙O2max , and RPE with ENDs use in adolescent participants (19,20). Either way, providers should strive to understand the current landscape of evidence prior to counseling or recommending treatments and new technologies to their athletes.…”

Section: Rhinitismentioning

confidence: 99%

Nasal Injuries and Issues in Athletes

Escalona,

Okamura

2024

Curr Sports Med Rep

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Nasal injuries and issues are widespread in athletic populations and can adversely affect training, performance, and overall well-being. Causes can typically be understood as cellular (allergic, nonallergic, and infectious rhinitis) or structural (static vs dynamic obstruction, trauma), and diagnosis and management differ accordingly. Upper respiratory tract infections, a subtype of infectious rhinitis, remain the most common illnesses among athletes. Here, the authors review the research surrounding the complex relationship between exercise, immunology, and susceptibility to infection. Furthermore, the authors provide an updated understanding of the current literature surrounding rhinitis and nasal trauma management and synthesize practical treatment considerations for providers caring for athletes at all levels.

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Effect of the external nasal dilator on adolescent athleteswith and without allergic rhinitis

Cited by 7 publications

References 22 publications

Distinguishing science from pseudoscience in commercial respiratory interventions: an evidence-based guide for health and exercise professionals

Distinguishing science from pseudoscience in commercial respiratory interventions: an evidence-based guide for health and exercise professionals

Comparação da função ventilatória e da atividade elétrica dos músculos inspiratórios acessórios entre adultos jovens com respiração nasal e oral

Nasal Injuries and Issues in Athletes

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